| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,114 |
7,063 |
$377K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
638 |
623 |
$44K |
| 93000 |
|
1,673 |
1,661 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
331 |
331 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
551 |
548 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
240 |
239 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,422 |
2,354 |
$10K |
| 94010 |
|
393 |
393 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
518 |
509 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
5,433 |
5,202 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
207 |
$7K |
| 86580 |
|
885 |
878 |
$5K |
| 90688 |
|
327 |
325 |
$4K |
| 92552 |
|
236 |
235 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
82 |
$4K |
| 90756 |
|
189 |
188 |
$3K |
| 81002 |
|
1,388 |
1,352 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
393 |
382 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
210 |
189 |
$1K |
| 90686 |
|
200 |
197 |
$1K |
| 82962 |
|
620 |
617 |
$1K |
| 82947 |
|
306 |
297 |
$596.64 |
| 99173 |
|
160 |
159 |
$561.42 |
| 82270 |
|
212 |
212 |
$484.77 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$410.54 |
| 85651 |
|
223 |
220 |
$358.28 |
| 82948 |
|
226 |
225 |
$338.65 |
| 99000 |
|
4,728 |
4,540 |
$216.52 |
| 99441 |
|
14 |
14 |
$170.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$165.25 |
| 99080 |
|
22 |
13 |
$0.00 |